Jack Gruber in New Hyde Park - General Practice

Jack Gruber - NPI 1609890151

Jack Gruber is a General Practice in New Hyde Park, New York. Jack Gruber practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Gruber is 1609890151. The last update date is 2007-07-08.

Jack Gruber's current location address is 1963 Lakeville Rd, New Hyde Park, New York. You can contact this provider via phone number 5164376426. The mailing address for Jack Gruber is 1963 Lakeville Rd, New Hyde Park, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Gruber
Address 1963 Lakeville Rd, New Hyde Park, New York
Phone Number 5164376426
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1609890151
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1963 Lakeville Rd
City New Hyde Park
State New York (NY)
Post Code 110401972
Phone Number 5164376426
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 39489
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jack Gruber

What is the unique identifier code issued to Jack Gruber by the Centers for Medicare & Medicaid Services?

The Jack Gruber has been assigned the NPI (National Provider Identifier) 1609890151. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jack Gruber's facilities are geographically located?

The facilities of Jack Gruber are physically situated at the following location: 1963 Lakeville Rd, New Hyde Park, NY, 110401972.

What is Jack Gruber's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jack Gruber is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1609890151 to Jack Gruber?

The Jack Gruber received its 1609890151 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.

As of what date were the details pertaining to Jack Gruber last refreshed?

The information related to the Jack Gruber, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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